Healthy Living: Your Experts
Oral and Maxillo Facial Surgery
Oral & Maxillo Facial Surgery Dr. Michael Bobo, DDS, MD, FACS and James W. Pledger, II, DDS
1109 Poplar Street
Murray KY 42071
1320 Pleasant Valley Avenue
Union City TN 38261
Murray KY 42071
1320 Pleasant Valley Avenue
Union City TN 38261
Oral & Maxillo Facial SurgeryBone Grafting
Over a period of time, the jawbone associated with missing teeth atrophies or is resorbed. This often leaves a condition in which there is poor quality and quantity of bone suitable for placement of dental implants. In these situations, patients may not be candidates for placement of dental implants without a bone graft. The amount of bone present is evaluated by clinical and x-ray exams. Our office has 3D cone beam CT scan technology available to evaluate bone in all dimensions. Click here for more info
Cleft Lip and Palate
During early pregnancy, separate areas of the face develop individually and then join together, including the left and right sides of the roof of the mouth and lips. However, if some parts do not join properly, sections don't meet and the result is a cleft. If the separation occurs in the upper lip, the child is said to have a cleft lip.
A completely formed lip is important not only for a normal facial appearance but also for sucking and to form certain sounds made during speech. A cleft lip is a condition that creates an opening in the upper lip between the mouth and nose. It looks as though there is a split in the lip. It can range from a slight notch in the colored portion of the lip to complete separation in one or both sides of the lip extending up and into the nose. A cleft on one side is called a unilateral cleft. If a cleft occurs on both sides, it is called a bilateral cleft. Click here for more info
Dental implants are changing the way people live. They are designed to provide a foundation for replacement teeth which look, feel and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything. Knowing that teeth appear natural and that facial contours will be preserved, they can smile with confidence.
The implants themselves are tiny titanium posts, which are inserted into the jawbone where teeth are missing. These metal anchors act as tooth root substitutes. They are surgically placed into the jawbone. The bone bonds with the titanium, creating a strong foundation for artificial teeth. Small posts are then attached to the implant, which protrude through the gums. These posts provide stable anchors for artificial replacement teeth.
Implants also help preserve facial structure, preventing the bone deterioration that occurs when teeth are missing. Click here for more info
Extraction of Diseased Teeth
One of the most common procedures performed in the office is extraction of decayed or otherwise diseased/non-restorable teeth. Drs. Bobo and Pledger frequently extract from 1 to 32 teeth at one time. Most patients prefer to be sedated with IV anesthesia during these procedures. This provides a comfortable means of having teeth taken out. Click here for more info
Dr. Bobo & Dr. Pledger also diagnose and treat lesions on the face and neck. New lesions of the face or neck skin as well as old lesions that have changed in color or shape should be inspected and possibly removed and sent for biopsy. When lesions on the face are removed, every effort is made to minimize scarring. Most of these procedures can be performed with local anesthesia. Patients also have the option of having IV sedation for removal of skin lesions. Dr. Bobo & Dr. Pledger often utilize the services of pathologists, dermatologists, Mohs surgeons, and head and neck cancer surgeons to provide comprehensive, definitive care for patients that are found to have cancerous lesions.
One of the unique characteristics of oral and maxillofacial surgeons is their ability to provide IV anesthesia in the office setting. This provides a comfortable means of undergoing oral surgical procedures. Drs. Bobo and Pledger both received several months of hospital-based anesthesia training during their residencies and have years of experience providing safe, comfortable IV sedation/general anesthesia in the office setting. Click here for more info
Dr. Bobo & Dr. Pledger perform comprehensive treatment of all facial injuries. They are well-versed in emergency care, acute treatment and long term reconstruction and rehabilitation - not just for physical reasons but emotional as well. Oral and maxillofacial surgeons are trained, skilled and uniquely qualified to manage and treat Facial Trauma. Injuries to the face, by their very nature, impart a high degree of emotional, as well as physical trauma to patients. The science and art of treating these injuries requires special training involving a "hands on" experience and an understanding of how the treatment provided will influence the patient's long term function and appearance. Click here for more info
The inside of the mouth is normally lined with a special type of skin (mucosa) that is smooth and coral pink in color. Any alteration in this appearance could be a warning sign for a pathological process. The most serious of these is oral cancer. The following can be signs at the beginning of a pathologic process or cancerous growth:
- Reddish patches (erythroplasia) or whitish patches (leukoplakia) in the mouth
- A sore that fails to heal and bleeds easily
- A lump or thickening on the skin lining the inside of the mouth
- Chronic sore throat or hoarseness
- Difficulty in chewing or swallowing
Orthognathic surgery is needed when jaws don't meet correctly and/or teeth don't seem to fit with the jaws. Teeth are straightened with orthodontics and corrective jaw surgery repositions misaligned jaws. This not only improves facial appearance, but also ensures that teeth meet correctly and function properly. Click here for more info
People with obstructive sleep apnea (OSA) have disrupted sleep and low blood oxygen levels. When obstructive sleep apnea occurs, the tongue is sucked against the back of the throat. This blocks the upper airway and air flow stops. When the oxygen level in the brain becomes low enough, the sleeper partially awakens, the obstruction in the throat clears and the flow of air starts again, usually with a loud gasp.
Repeated cycles of decreased oxygenation lead to very serious cardiovascular problems. Additionally, these individuals suffer from excessive daytime sleepiness, depression, and loss of concentration. Click here for more details
TMJ (temporomandibular joint) disorders are a family of problems related to your complex jaw joint. If you have had symptoms like pain or a "clicking" sound, you'll be glad to know that these problems are more easily diagnosed and treated than they were in the past. These symptoms occur when the joints of the jaw and the chewing muscles (muscles of mastication) do not work together correctly. TMJ stands for temporomandibular joint, which is the name for each joint (right and left) that connects your jaw to your skull. Since some types of TMJ problems can lead to more serious conditions, early detection and treatment are important.
No one treatment can resolve TMJ disorders completely and treatment takes time to become effective. Drs. Bobo and Pledger can help you have a healthier and more comfortable jaw. Click here for more info
By the age of eighteen, the average adult has 32 teeth; 16 teeth on the top and 16 teeth on the bottom. Each tooth in the mouth has a specific name and function. The teeth in the front of the mouth (incisors, canine and bicuspid teeth) are ideal for grasping and biting food into smaller pieces. The back teeth or molar teeth are used to grind food up into a consistency suitable for swallowing. The average mouth is made to hold only 28 teeth. It can be painful when 32 teeth try to fit in a mouth that holds only 28 teeth. These four other teeth are your Third Molars, also known as "wisdom teeth."
Why Should I Remove My Wisdom Teeth? Wisdom teeth are the last teeth to erupt within the mouth. When they align properly and gum tissue is healthy, wisdom teeth do not have to be removed. Unfortunately, this does not generally happen. The extraction of wisdom teeth is necessary when they are prevented from properly erupting within the mouth. They may grow sideways, partially emerge from the gum and even remain trapped beneath the gum and bone. Impacted teeth can take many positions in the bone as they attempt to find a pathway that will allow them to erupt successfully. Click here for more info